Manito Dialysis LLC
NPI #1902213580 in Glendora, California
Provider Information
- NPI Number
- 1902213580
- Entity Type
- Organization
- Organization Name
- Manito Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 16, 2014
- Last Updated
- Dec 7, 2023
Practice Location
- Address
- 750 W ROUTE 66 STE Q
- City
- Glendora
- State
- California
- ZIP Code
- 91740-4164
- Phone
- (626) 335-2063
Authorized Official
- Name
- SAMUEL T. WEY, AO
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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